| NPI | 1124442645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011497) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW11754) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2019-01-15 |